Title: Global Caries Epidemiology, New Approaches

Abstract:

Understanding of socioeconomic context and caries date might enable more efficient evidence-based preventive strategies in oral health.

Introduction:

Dental Caries as noncommunicable disease (NCD) shares with other NCD’s modifiable risk factors such as high sugar intake and poor health behaviour; its prevalence is strongly influenced by socioeconomic contexts. These determinants strongly influence stark oral health inequalities between and within countries, creating resource unavailability, patient vulnerability and poor accessibility to health care in underprivileged social groups. According to the conceptual theoretical framework proposed by the World Health Organization (WHO) Commission on social determinants of health, the macro-level context influencing health outcomes involves several items as follows: (1) governance, (2) macroeconomic policies, (3) social policies, (4) public policies, (5) cultural and social values, (6) epidemiological circumstances. The strong effect of macro-level socioeconomic contexts on the oral health of different age-groups suggests favouring upstream preventive oral health strategies in countries with economic grown difficulties.

Learning Objectives:

1. Summarise the scientific evidence on caries epidemiology and prevention
2. Recognize the different caries levels in different age groups.
3. Estimate the caries progressive rate
4. Illustrate the best preventive approach
5. Predict the outcome of the new approach

Title: When a Dentist Dies of Oral Cancer, The Need for Earlier Diagnosis.

Abstract:

Early detection and early treatment are the key to surviving an oral cancer diagnosis. As dental professionals on the front line, diligence in screening during examination is crucial for early detection and diagnosis.

In this essential course, we will identify patient risk factors, explore the statistics, and discuss the importance and effectiveness of HPV vaccinations. Together we will delve into the basic screening examination and documentation protocols, as well as illuminate signs, symptoms, and enhanced early detection tools. Together we will explore staging and treatment options. We will also give emphasis to skills for communicating results and referral protocols.

Introduction:

This course is designed for all healthcare professionals. It is a comprehensive analysis of Oral Cancer. We will go into what Oral Cancer is, how to detect, document, screen and do a in depth analysis of Oral Cancer. Pre- and post-surgery protocols are discussed. We will also focus on how to better help your patients and help you be a better healthcare provider.

Learning Objectives:

1. What is Oral cancer vs. oropharyngeal cancers and why rates are increasing
2. What are risk factors
3. How to document lesions, soft tissue, hard tissue
4. When and whom to refer
5. How to screen patients and its importance
6. How to help patients undergoing cancer treatments
7. Sharing a personal aspect of Cancer

Title: TADs- “A Biomechanical Aid in Different Clinical Situations”

Abstract:

Development of the simple, stable, and easy to use orthodontic mini-implant represents a critical turning point in the search for effort-less control of orthodontic anchorage.

Temporary anchorage devices (TADs) are a relatively new addition in the armamentarium of an Orthodontist and they are now being routinely used by them around the world for providing absolute anchorage. However, many Orthodontists are aloof to the versatility of TADs, which can be used in a myriad of clinical situations to aid an Orthodontist in achieving complex tooth movements with ease.

This lecture aims to broaden the vision of Orthodontists and budding Orthodontists to the infinite possibilities of using TADs in different clinical situations.

Learning Objectives:

1. To make the clinician aware of the basic description of Implants
2. To emphasise on indications and in which situations the implants should be used
3. To Brief the clinician regarding the procedure of placement of Implants
4. Explain the basic biomechanics and the mode of action of Implants.

Title:

The Superpowers of Minimally Invasive Prosthodontics with the Digital Revolution: A Clinical Report

Abstract:

This clinical report describes the digital workflow implementing different virtual and digital aids in prosthodontically restoring tooth wear, and loss of occlusal vertical dimension (OVD) conservatively in an adult with pseudo class III malocclusion, using computer-aided design and computer-aided manufacturing (CAD-CAM) monolithic lithium disilicate ceramic restorations.

 Introduction:

 The management of cases with collapsed occlusion, though challenging, can be simplified through adopting systematic full mouth rehabilitation protocol to deal with loss of tooth structure and vertical dimension and address problems as poor esthetics and occlusal malfunction. However, the esthetic and functional rehabilitation of teeth should follow the principles of minimally invasive prosthodontics whenever applicable, since the conservative biomimetic prosthetic options have become increasingly feasible, due to the introduction of modern adhesive techniques and recent restorative materials with similar properties to those of natural teeth. Recently, the virtual world is leading a digital revolution and entirely changing the dental field with digital-based technologies which can be implemented in a systematic and collaborative treatment plan starting from the diagnosis and ending with the fabrication of various components of the plan, achieving the aesthetic and functional success expected when full-mouth reconstructions are required. This report is a presentation of a clinical case that follows a digital functional and esthetic treatment planning workflow, minimally invasive prosthodontic approach, and CAD-CAM monolithic lithium disilicate ceramic restorations to treat tooth wear, loss of vertical dimension, anterior cross bite and their subsequent esthetics and functional complications.

Learning Objectives:

1. The attendee should be able to explore different treatment planning options for complicated prosthetic rehabilitation cases
2. The attendee should be able to discover more about the recent advances in the field of digital dentistry
3. The attendee should be able to conserve tooth structure and utilize different adhesion techniques while restoring the teeth with adhesive restorations.
4. The attendee should be able to properly select the preparation design, restorative material, and fabrication technique for each case.
5. The attendee should be able to recognize the importance of digital workflow to deliver predictable esthetic and functional restorations.

Abstract:

Management of impacted mandibular third molars with surgical removal is a common procedure in day-to-day practice. Incision, reflection of flap, osteotomy, suturing is the normal protocol which involves traumatic tissue handling, patient discomfort, swelling and pain. The demand for conservative approach and stitch-less surgeries is increasing day-by-day. Dr. Nikam developed a technique to remove impacted third molars with a minimally invasive conservative approach, inset to avoid incision and soft tissue handling. This procedure reduces post-operative complications and procedure time. The purpose of this presentation is to present the modification in design and execution that Dr. Nikam has used in thousands of his cases.

Introduction:

 This copyrighted technique is a revolution in the field of Dentistry, and is accepted worldwide. The demand for stitch-less procedures is increasing day-by-day in all specialities like gynecology, general surgery, and cosmetology. So why not in dentistry? The conservative removal of mandibular impacted third molars gives immense patient satisfaction due to reduced pain and post operative complications. The removal of impacted molars is a challenging task for most dentists. This technique provides practitioners with a faster, easier, and more efficient approach. Hence, Dr. Nikam wishes to share it with dentists worldwide. This procedure has been trademarked by the Government of India under Dr. Nikam (MIPMIT Dr. V. H. Nikam’s technique).

Learning Objectives:

1. Minimal invasion and trauma to the patient using the technique
2. Less Postoperative complications using the new technique
3. Perform impacted third molar removal in less time.
4. The armamentarium used in procedure is less.
5. No need of sutures in some cases giving more satisfaction to such patients.

Topic Description :

Success and Challenges of School Oral Health Program, Kuwait

Abstract:
School Oral Health Program, Kuwait (SOHP) is a comprehensive school-based/linked program providing oral health education, prevention, and treatment to more than 300,000 children in Kuwait Public schools. SOHP had its modest beginning during 1982-83. Since its inception, this program has gone through many administrative and structural changes. Success of SOHP can be measured in terms of oral health outcomes among children receiving services under this. With effective prevention, SOHP has stabilized the caries-levels in permanent teeth and has reduced the unmet needs. SOHP has also faced many challenges over the years which has threatened its existence from time to time. Role of decision makers has been key to sustainability of SOHP. This program will continue to play a very significant role in not just delivery of oral health in Kuwait but also in controlling the burden of oral diseases.

Introduction:
Oral health is the integral part of the overall health of an individual. Children are vulnerable to oral diseases, especially tooth decay (Dental Caries) since all the teeth erupt during their childhood and the newly erupted teeth are susceptible to tooth decay. Also, the oral health habits established in children when they are very young, stays with them for life.
Comprehensive oral health programs for school children plays a major role in controlling the effect of tooth decay among children. Also, school-based programs play a significant role in educating children with healthy eating and oral hygiene habits.
MOH Kuwait introduced School Oral Health Program during 1982-83 to control the burden of oral health diseases among school-aged children.

Learning Objectives:

1. School-based oral health programs
2. Program evaluation
3. Oral health prevention
4. Oral health education
5. Sustainability

Topic Description :

Tobacco Cessation in Dental Practice

Abstract:
Tobacco use remains a significant global public health concern, with detrimental effects on both systemic and oral health. This webinar primary delves into the vital role of dental practitioners in tobacco cessation who are uniquely positioned to identify, educate, and support patients in their journey towards tobacco cessation.

Dental practitioners have an opportunity to serve as frontline healthcare providers by routinely assessing and delivering brief interventions and pharmacotherapy. We shall be sharing anecdotal experiences and strategies used to make your dental practice more relevant for tobacco cessation. This integration of tobacco cessation into dental practice holds promise for improving both the oral and overall health outcomes of patients and communities worldwide.

Learning Objectives:

1. To understand the role of dental professionals and strategies to integrate tobacco cessation into dental practice.
2. To understand and develop a personalized plan for quitting tobacco with support from dental professionals.
3. To understand the role of pharmacotherapy in tobacco cessation
4. To appreciate the various barriers and challenges to delivery of tobacco cessation in dental practice
5. To explore the various resources in tobacco cessation.

Topic Description :

Obesity and Diabetes: Prevention and Intervention in the Dental Setting

Abstract:

Dental professionals have an important role in the prevention and detection of many oral and systemic diseases because of their diagnostic and screening abilities, as well as the frequency of patient visits. These invaluable skills and practice paradigms should be considered as part of the equation to solve one of the largest public health concerns of our time: the obesity and diabetes epidemic. There is a well-described connection between periodontal disease and diabetes, with implications that the relationship may be bi-directional. Periodontal disease and obesity are associated with inflammatory stress and increased production of proinflammatory cytokines. Clearly, these associations should be reasons for the dental profession to intervene in the rise of obesity. Insufficient sleep is another factor in the obesity problem and screening for sleep habits could be part of a  comprehensive dental assessment, along with height, weight, blood pressure. The dental profession is in a unique position to identify and aid in the treatment of obstructive sleep apnea, a condition associated with obesity and diabetes. The rise of obesity and type 2 diabetes in children is of great concern and the dental profession can play a role in raising awareness of overweight status as well as obesity risk behavior.

Learning Objectives:

1. Participants will become familiar with the current prevalence of obesity in the US and other countries.
2. Participants will be able to discuss the relationship between obesity and oral health
3. Participants will be more aware of their patients’ health risks with respect to obesity.
4. Participants will be able to implement a screening and possible intervention in their own clinical sites.
5. Participants will be able to identify behaviors that increase obesity and contribute to poor health.

Introduction:

There is interest in the relationship of body weight and obesity to oral diseases. This interest derives from the recognized association of diabetes and obesity, and the importance of the relationship of diabetes and oral health. The mechanism that is believed to account for the relationship of diabetes and periodontitis is enhanced local and systemic inflammation, and the role of adipocyte and macrophage –associated production of inflammatory mediators is an important part of that relationship. In addition, weight gain is often related to food intake, and the intake of fermentable carbohydrates can have an effect on the dentition and other tissues in the oral cavity. In addition, this association is of interest because being overweight and obese is associated with sleep apnea, and dental professionals are expanding their role in treating this disorder.

Being overweight and obese has also been associated with an increased risk of oral/dental disease. These associations require dental professionals to be vigilant, treat disorders when they are detected, and develop a preventive regimen to reduce the chance of future complications. Further, oral health care professionals need to consider a role in obesity management for their patients. They are well versed in delivering a nutrition message related to carbohydrate intake, and this new responsibility could improve both the oral health and general health of patients seen in dental offices

Topic Description :

New Dimensions to Caries Prevention: Beyond Fluorides and Sealants

Abstract:

Caries prevention has evolved with time. Though Fluorides and sealants have remained the gold standard for long-period of time, many new materials, are revolutionizing this field these days. Introduction of SDF (Silver Diamine Fluoride) has added new dimension to caries prevention/management. Effective use of technology is taking the filed of Caries prevention beyond conventional methods. Smart connected devises, Chair-side caries-risk assessment, materials that aid in performing Minimally invasive procedures, etc. are creating new waves in the field of Caries prevention and is truly taking this field beyond fluorides and Sealants.

Learning Objectives:

1. Use of SDF in Caries prevention/management
2. Technology-driven preventive methods
3. Innovative materials for caries prevention

Topic Description :

Drill and fill to Heal and Seal – A Paradigm in Caries Management

Abstract:

Dental caries is the most common cause of tooth destruction in children. So, early detection and management of incipient lesion, which are present in the initial phase most commonly as whitish spots on enamel surface can prevent loss of tooth structure. There are various methods for the management of incipient lesions; the most effective being use of remineralising agents, use of fluorides and antiplaque agents. Management and prevention of these lesion as early as possible justify the role of a Pediatric and Preventive Dentist hence precluding the severe issues that may arise from tooth destruction.

Introduction:

 The early diagnosis and management of carious lesion is the key to the success of the treatments. Different efforts which must be made in order to decrease incidence of caries include identification and monitoring of bacteria, diet analysis and modification, use of topical fluorides and antimicrobial agents with more evidences about various modalities, In 2016, FDI approved a revised version of the Policy Statement on “Minimal Intervention in the Management of Dental Caries” (2002) which recognized that “an operative (‘surgical’) approach should only be used when specifically indicated, e.g., when cavitation is such that the lesion cannot be arrested, or when there are aesthetic or functional requirements”. The aim was to encourage a shift from a restorative approach of dental caries management to the delivery of preventive dental medicine. Yet in spite of this effort, uptake in daily clinical practice so far has been slow. This presentation will help improve our understanding about the use of preventive techniques and newer technologies, and will direct us into different approaches and interventions; overall encouraging fellow ‘Pediatric & Preventive Dentists’ to emphasise more on the latter speciality of our title.

Learning Objectives:

1. Early detection of the disease process
2. Management of incipient caries lesion
3. Decide which types of non-restorative treatments or interventions could be used to arrest or reverse existing non-cavitated lesions in adults and children
4. Emphasising on new preventive techniques over conventional techniques
5. Safety, efficiency, feasibility, and effectiveness of SDF in preventing and arresting caries